Free Practice Questions for AAPC CPC Exam

Newborn circumcision coding depends primarily on whether the circumcision is performed using aclamp/device techniqueversus asurgical excision technique. CPT54150is commonly associated with circumcision using a clamp or other device method (often described with a Gomco/Mogen-type approach in many training contexts). In contrast, CPT54160representssurgical circumcisionusing acircumferential incisionwith excision of the foreskin—matching the documentation (“circumferential incision… foreskin excised with a scalpel”). The infant’s age (8 days old) supports that this is a newborn service, but the decisive factor in this vignette is thetechnique described. Modifier-52(reduced services) is not supported because the full circumcision service is performed. Modifier-63applies to procedures performed on infants less than 4 kg for certain CPT codes when applicable, but it is not universally appended and is not the best answer here given typical CPC exam expectations for standard newborn circumcision technique identification. Therefore,54160is correct.

ICD-10-CM guidelines state that healing pressure ulcers are coded as the stage documented.

L89.624 = Pressure ulcer of left heel, stage 4

Stage 4 ulcers involve full-thickness tissue loss and are commonly referenced in exam scenarios involving treatment of healing ulcers

Unspecified stage or laterality codes are not appropriate when documentation supports specificity.

When a patient experiences an underdose of insulin due to an insulin pump malfunction, the primary reason for the encounter would be the malfunction itself, which is coded first. The resulting hyperglycemia or hypoglycemia due to the pump failure is a secondary condition. According to ICD-10-CM guidelines, the code for the mechanical complication of the pump (T85.633-) is sequenced first, followed by a code for the diabetes with complication (E11.65 for type 2 diabetes with hyperglycemia).

ICD-10-CM (current year), Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88), ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.4.

CPT® code 27566 involves excision of the patella. Given the surgical description provided, this code is appropriate as the patella was severely damaged and removed entirely.

Patient's Condition: Dislocated patella with cartilage breakdown and severe damage.

Surgical Procedure: The surgeon made an incision, dissected through soft tissue, exposed, and completely removed the patella.

Coding Decision: CPT® 27566 is chosen because it specifies excision of the patella. The modifier LT indicates the procedure was performed on the left side.

CPT code 11102 is for punch biopsy of skin, including simple closure. CPT code 12001-51 is for simple repair of superficial wounds, with modifier 51 indicating multiple procedures. ICD-10-CM code D49.2 is used for a neoplasm of unspecified behavior of the bone, soft tissue, and skin. This coding accurately reflects the punch biopsy and simple repair performed on the lesion.

AMA's CPT® Professional Edition (current year), ICD-10-CM (current year)

S06.0X1A = Concussion with brief LOC

V40.5XXA = Driver injured in collision with fixed object

V47.5XXA = Car accident, driverExternal cause codes correctly describe mechanism and role.

This operative report documents anew permanent dual-chamber pacemaker implantation: creation of a subcutaneouspocket, placement oftwo transvenous leads(oneatrialand oneventricular) via a peel-away sheath, confirmation of thresholds, and connection/insertion of thepulse generatorinto the pocket with layered closure. CPT pacemaker insertion coding is determined by thenumber of chambers/leads placedduring the session.33208is the correct code for insertion of adual-chamberpermanent pacemaker system (atrial and ventricular leads with generator).33206is for asingle-chamber ventricularsystem and33207is for asingle-chamber atrialsystem, so neither matches a dual-lead implantation. Reporting 33206 and 33207 together is not correct because CPT provides the single comprehensive dual-chamber code when both leads are placed. The fluoroscopic guidance and catheterization lab setting support how the leads were placed but do not change the CPT selection, and “challenging due to agitation” does not by itself create a separate reportable service. Therefore, report33208.

60254 = Subtotal thyroidectomy for malignancy with radical neck dissection

60260 = Total thyroidectomy

60220 = Partial thyroidectomy, benign

60252 = Total thyroidectomy with radical neck dissection

Dacryocystitis is the inflammation of the lacrimal sac, which is part of the tear drainage system located in the inner corner of the eye. The lacrimal sac is connected to the nasolacrimal duct, which drains tears into the nasal cavity. Inflammation in this area can cause pain, redness, and swelling near the inner corner of the eye.

ICD-10-CM, medical dictionaries